Analysis self-regulation model based on belief in self-care in type 2 diabetes mellitus patients.

IF 0.8 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI:10.47391/JPMA.11076

Nilawati Uly, Marisna Eka Yulianita, Michael Batupadang

{"title":"Analysis self-regulation model based on belief in self-care in type 2 diabetes mellitus patients.","authors":"Nilawati Uly, Marisna Eka Yulianita, Michael Batupadang","doi":"10.47391/JPMA.11076","DOIUrl":null,"url":null,"abstract":"Objectives: To evaluate the efficacy of the self-regulation model based on belief to enhance the ability of individuals with type 2 diabetes mellitus to take care of themselves.Methods: The survey-based study was conducted in South Sulawesi, Indonesia, from May to August 2023, and comprised type 2 diabetes mellitus patients of either gender whose blood glucose level was >200mg/dl. The survey comprised multiple questionnaires exploring the impact of exogenous variables on endogenous variables. Data was analysed using Structural Equation Modelling-Partial Least Squares method.Results: Of the 180 patients, 97(53.9%) were women and 83(41.6%) were men. The overall mean age was 55.8±6.55 years. Of the total, 110(61.1%) patients experienced complications in the form of hypertension or stroke, and 70(38.9%) were without complications. Characteristic factors influenced problem interpretation (p=0.016) and health (p=0.024). Social support factors influenced problem interpretation (p=0.018) and health (p=0.046). Health service factors influenced problem interpretation (p=0.024) and health (p=0.006). Interpretation of problems in illness had an influence on health (p=0.035) and beliefs (p=0.014). Coping had a significant influence on self-care (p=0.001).Conclusions: In order for patients to set goals and take the necessary steps to raise their awareness of performing self-care, health workers must be encouraged to increase patient confidence on solving health problems. This will have an impact on controlling blood glucose levels and preventing disease complications.","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 3","pages":"400-404"},"PeriodicalIF":0.8000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Pakistan Medical Association","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.47391/JPMA.11076","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives: To evaluate the efficacy of the self-regulation model based on belief to enhance the ability of individuals with type 2 diabetes mellitus to take care of themselves.

Methods: The survey-based study was conducted in South Sulawesi, Indonesia, from May to August 2023, and comprised type 2 diabetes mellitus patients of either gender whose blood glucose level was >200mg/dl. The survey comprised multiple questionnaires exploring the impact of exogenous variables on endogenous variables. Data was analysed using Structural Equation Modelling-Partial Least Squares method.

Results: Of the 180 patients, 97(53.9%) were women and 83(41.6%) were men. The overall mean age was 55.8±6.55 years. Of the total, 110(61.1%) patients experienced complications in the form of hypertension or stroke, and 70(38.9%) were without complications. Characteristic factors influenced problem interpretation (p=0.016) and health (p=0.024). Social support factors influenced problem interpretation (p=0.018) and health (p=0.046). Health service factors influenced problem interpretation (p=0.024) and health (p=0.006). Interpretation of problems in illness had an influence on health (p=0.035) and beliefs (p=0.014). Coping had a significant influence on self-care (p=0.001).

Conclusions: In order for patients to set goals and take the necessary steps to raise their awareness of performing self-care, health workers must be encouraged to increase patient confidence on solving health problems. This will have an impact on controlling blood glucose levels and preventing disease complications.

查看原文本刊更多论文

基于自我护理信念的2型糖尿病患者自我调节模型分析。

目的：评价基于信念的自我调节模式对提高2型糖尿病患者自理能力的效果。方法：研究于2023年5 - 8月在印度尼西亚南苏拉威西进行，研究对象为血糖水平为bbb20 200mg/dl的2型糖尿病患者，男女不限。调查包括多个问卷，探讨外生变量对内生变量的影响。采用结构方程模型-偏最小二乘法对数据进行分析。结果：180例患者中，女性97例（53.9%），男性83例（41.6%）。总体平均年龄为55.8±6.55岁。其中110例（61.1%）患者出现高血压或脑卒中并发症，70例（38.9%）患者无并发症。特征因素影响问题解释（p=0.016）和健康（p=0.024）。社会支持因素影响问题解释（p=0.018）和健康（p=0.046）。卫生服务因素影响问题解释（p=0.024）和健康（p=0.006）。对疾病问题的解释对健康（p=0.035）和信仰（p=0.014）有影响。应对对自我照顾有显著影响（p=0.001）。结论：为了使患者设定目标并采取必要措施提高自我保健意识，必须鼓励卫生工作者提高患者解决健康问题的信心。这将对控制血糖水平和预防疾病并发症产生影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of the Pakistan Medical Association Medicine-General Medicine

CiteScore

1.10

自引率

11.10%

发文量

983

审稿时长

3-6 weeks

期刊介绍： Primarily being a medical journal, JPMA publishes scholarly research focusing on the various fields in the areas of health and medical education. It publishes original research describing recent advances in health particularly clinical studies, clinical trials, assessments of pathogens of diagnostic importance, medical genetics and epidemiological studies. Review articles highlighting importance of various issues in the domain of public health, drug research and medical education are also accepted. As a leading journal of South Asia, JPMA remains cognizant of the recent advances in the rapidly growing fields of biomedical sciences, it invites and encourages scholars to write short reviews and invited editorials on the emerging issues. We particularly aim to promote health standards of developing countries by encouraging manuscript submissions on issues affecting the public health and health delivery services.